Marin A, Hardy G
Pharmaceutical Nutrition Group, School of Biological and Molecular Sciences, Oxford Brookes University, Oxford, UK.
Curr Opin Clin Nutr Metab Care. 2001 May;4(3):219-25. doi: 10.1097/00075197-200105000-00009.
Continuous blood membrane interactions during continuous renal replacement therapy cause bioincompatibility and low grade inflammatory reactions with potentially adverse consequences on protein metabolism and immunocompetence. In designing a nutritional program for patients receiving this treatment, these adverse metabolic effects, especially the loss of nutritional substrates, must be considered. This review provides a practical overview of nutritional support in acute renal failure, including assessment techniques, determination of nutrient needs, and appropriate intervention for patient support.